Dr. Diraj Karnani, MD
18419 Us Highway 18 Ste 6, Apple Valley, CA 92307 • +1-816-555-7765
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Apple Valley Percentiles
NPI #1639516172 • CBSA Regional • Rheumatology
Within the Apple Valley, CA (CBSA local) Rheumatology cohort, Dr. Diraj Karnani, MD with sub-specialty concentration in 59 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 86.46th CA percentile (+0.66σ Z-score) based on 108,217 billed procedures for 495 patients.
Fee-schedule auditing of NPI 1639516172 highlights 2276 annual claims for 99214 (99th Apple Valley percentile; $52–$71 self-pay corridor) plus 1039 encounters under 20610 and 742 under 96413.
At 18419 Us Highway 18 Ste 6 (92307), Dr. Diraj Karnani, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$239.00 per new consult (4.93/5 bedside rating).
Clinical background for Dr. Karnani (MD, NPI #1639516172) includes accredited doctoral training (2012, 14 yrs in practice) and virtual + in-office availability across CA.
Top 10% Rheumatology volume leader in Apple Valley, CA
108,217 annual services across 495 beneficiaries
Standard deviations from CA Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 2,276 | 99th | $52 – $71 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 1,039 | 99.5th | $41 – $56 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 742 | 95th | $71 – $97 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 495 | 96th | $54 – $74 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 396 | 99th | $71 – $97 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (59 HCPCS billing breadth) | 103,270 | 99th | $45 – $65 |
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Dr. Diraj Karnani, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Karnani National Provider Identifier | NPI #1639516172 (MD) | CMS NPPES Registry (92307) |
| Dr. Karnani Apple Valley CMS Volume Rank | 99.00th Pct (108,217 CMS svcs; Z +0.661σ) | CMS Medicare Part B (CA Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Apple Valley, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 20 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.88/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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